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June 4, 1887


JAMA. 1887;VIII(23):642-643. doi:10.1001/jama.1887.02391480026010

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Dear Sir:  —I desire to present the following case to the readers of The Journal, making no attempt to explain their apparently wondrous features. The tests and observations, as well as the records, were made with all possible care and particularity.Mrs. M., aged 51, American, mother of one child 20 years of age. She presents no special diathesis, but for several years has had a debilitated, and somewhat emaciated appearance resulting chiefly from overwork and a disturbed climacteric. In May, 1886, and during my absence from the city, Mrs. M., from exposure to cold and damp, was attacked with chills and some febrile action, for which my friend, Dr. D. was called to prescribe. Upon my return, about two weeks subsequent to her attack, I found her able to sit up, but presenting the typical pallor of countenance, with puffiness below the eyes characteristic of albuminuria. Dizziness was also

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